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PubMed Thyssen JP, Menn T, Johansen JD, et al

The most common symptoms of golfers elbow include: Pain Tenderness Stiffness Weakness in your hands and wrists Numbness or tingling in your hand or fingers (if nearby nerves are affected) Decreased grip strength What Causes Golfers Elbow

It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of

Side effects are: Red rash Increase skin acne Photosensitivity Bruising and bleeding at the injection site Vitamin D Vitamin D contributes to normal absorption/utilisation of calcium and phosphorus Contributes to normal blood calcium levels Contributes to the maintenance of normal bones Contributes to the maintenance of normal muscle function Contributes to the maintenance of normal teeth Contributes to the normal function of the immune system Has a role in the process of cell division Helps to reduce the risk of falling associated with postural instability and muscle weakness

This careful regulation allows newly organized endothelial cells to actively sprout capillary buds directly into areas of poor vascular density, restoring cellular nutrient supply to damaged bone-to-tendon junction points